Keegan, Martha
Keegan, Martha is an individual health care provider with primary practice located at 15390 New Halls Ferry Rd , Florissant MO 63031-1327. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Keegan, Martha can be contacted via phone (314) 831-9916.Contact Information
Primary practice address
15390 New Halls Ferry Rd
Florissant MO 63031-1327
Phone: (314) 831-9916
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 042301 | Missouri |
Profile Details
| NPI number | 1730461476 |
|---|---|
| LBN Legal business name | Keegan, Martha |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2011 |
| Last updated | Sep 19th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730461476 | NPPES |
| Missouri | MEDICAID | 603942905 |
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